Value of B-Lynch in combination with intrauterine sac compression in refractory postpartum hemorrhage
Objective:To investigate the efficacy of B-Lynch combined with intrauterine sac compression in refractory postpartum hemorrhage.Methods:The clinical data of 100 patients with refractory postpartum hemorrhage admitted to our hospital from March 2018 to January 2022 were retrospectively selected as the study subjects,and were divided into the conventional group(n=48)and the study group(n=52)based on different treatment methods.The conventional grou was treated with intrauterine water sac compression for hemostasis;The study group was combined with B-Lynch on the basis of the conventional group.The two groups were compared with hemostatic response rate,perioperative indexes(intraoperative bleeding volume,postpartum lochia duration,vaginal bleeding volume 2 h and 24 h postpartum,hemostasis time),preoperative and 24-hour coagulation function indexes[Activated partial thomboplastin time(APTT),Prothrombin time(PT),Thrombin time(TT)Stress response indicators[serum aldosterone(ALD),epinephrine(E),norepinephrine(NE)].Results:The effective rate of hemostasis in the study group was significantly higher than that in the conventional group,and the intraoperative bleeding volume,2 h and 24 h postpartum vaginal bleeding were significantly less than those in the conventional group,the duration and hemostasis time of postpartum lochia were significantly shorter than those in the conventional group(P<0.05),and 24 h after surgery,APTT,PT and TT were shortened in both groups,and the serum ALD,E and NE levels were lower in the study group than in the conventional group,and the research group was lower than that in the conventional group(P<0.05).Conclusions:B-Lynch combined with intrauterine sac compression hemostasis in refractory postpartum hemorrhage can improve coagulation function,reduce stress response,improve hemostasis efficiency,reduce bleeding volume,and promote postpartum rehabilitation.
B-Lynch surgeryIntrauterine sac compression to stop bleedingCaesarean sectionRefractory postpartum hemorrhageCoagulation function
万方数据
维普
